Aug. 27, 2023

Navigating COVID-19: Unraveling Variants, Boosters, and the Role of the CDC with Dr. William Choctaw

Navigating COVID-19: Unraveling Variants, Boosters, and the Role of the CDC with Dr. William Choctaw

Ever wondered how the COVID-19 virus hijacks our cells, or why new variants like Eris keep emerging? Join us as we pick the brain of Dr. William Choctaw, a leading voice in the fight against the pandemic, for a fresh take on these questions and more....

Ever wondered how the COVID-19 virus hijacks our cells, or why new variants like Eris keep emerging? Join us as we pick the brain of Dr. William Choctaw, a leading voice in the fight against the pandemic, for a fresh take on these questions and more. We unravel the science behind the virus and its mutations and discuss the robust efforts of stalwarts like Dr. Anthony Fauci in this challenging battle. Essential insights on the latest variants, the vital role of the CDC, and the significance of booster shots are all on the agenda. 

Brace yourself as we take a deep dive into the CDC's relentless work in detecting and mitigating the transmission of ERIS. Learn about their international travel guidelines and collaborations with local governments to keep the virus at bay. As we find ourselves in the midst of fall and winter, the need for vigilance has never been higher. From the importance of booster shots to the use of home testing kits, Dr. Choctaw sheds light on how we can keep ourselves and our loved ones safe. With the wisdom of experts like Dr. Fauci and current knowledge about the Omicron variant, this episode equips you with the knowledge you need to navigate these uncertain times.

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Healthcare Quality Leadership Education Group

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The Host, Dr. William Choctaw; MD, JD, is a healthcare leadership expert, possessing a Medical Doctorate from the Yale University School of Medicine, and a Jurist Doctorate from Western University. Over a span of 50 years practicing medicine, he has served as Chief of Staff, Chief of Surgery, and as a member of the medical executive committee at Citrus Valley Medical Center over a 10 year period. Also, while practicing at Citrus Valley Medical Center, he served as Chief Transformation Officer, (developed a Robust Process Improvement/Lean Six Sigma program). Dr. Choctaw lectures nationally and internationally on medical leadership issues for hospital staffs, executives, and managers. He served as a Physician Surveyor on the Joint Commission. He's the author of 2 books, "Medical Malpractice: A Physician's Guide to the Law" and "Transforming the Patient Experience: A New Paradigm for Hospital and Physician Leadership, published by the Springer Publishing Co. He’s the President of Choctaw Medical Group, Inc., a clinical practice and medical legal consulting firm for medical staff executives, physician leaders, and hospitals.

Transcript
100:00:00,521 --> 00:00:02,444Speaker 1: Welcome to the Healthy, wealthy and Wise 200:00:02,544 --> 00:00:08,102podcast with Dr William Choctaw,mdjd. Our mission is to empower300:00:08,102 --> 00:00:11,930you with the knowledge and the tools you need to thrive in all 400:00:12,131 --> 00:00:16,225aspects of your life. Join us now as we discuss everything 500:00:16,306 --> 00:00:19,862from nutrition and exercise to money management and personal 600:00:19,882 --> 00:00:24,772growth. Dr Choctaw will provide insightful advice on how to 700:00:24,814 --> 00:00:28,103improve your physical and financial health, as well as 800:00:28,143 --> 00:00:31,501your emotional and mental well-being. Whether you're 900:00:31,521 --> 00:00:35,976looking to boost your energy levels, unlike financial freedom1000:00:35,976 --> 00:00:40,268or cultivate a more positive mindset, we've got you covered. 1100:00:41,899 --> 00:00:45,941Get ready to become the best version of yourself, so let's 1200:00:45,981 --> 00:00:50,368get started. Here's Dr William Chokta, mdjd. 1300:00:51,140 --> 00:00:55,149Speaker 2: I'm Dr William Choctaw and I will be your host 1400:00:55,289 --> 00:01:00,088today. These podcasts are part of our Leadership Master Class 1500:01:00,149 --> 00:01:04,989series and each month, what we hope to do is we strive to 1600:01:05,049 --> 00:01:09,061provide you, with our listeners,with mental, physical and 1700:01:09,100 --> 00:01:13,930spiritual strength by giving action, advice, tips, guidance 1800:01:14,090 --> 00:01:18,346and information to help you achieve your own personal, 1900:01:18,486 --> 00:01:24,424professional and spiritual goals. We consider the health and the2000:01:24,424 --> 00:01:31,757mind, body and spirit paramountas a single unit that provides 2100:01:31,859 --> 00:01:36,368a cumulative strength greater than the individual parts to 2200:01:36,489 --> 00:01:42,125strengthen the whole person. So sit back and go with us on 2300:01:42,186 --> 00:01:48,725another exciting journey. The title of our discussion today 2400:01:48,926 --> 00:01:54,501about podcasts today is Most people can wait to get the COVID2500:01:54,501 --> 00:02:00,769booster. What to know about Eris, the latest coronavirus 2600:02:00,829 --> 00:02:05,423strain? Let me say that again. Most people who are vaccinated 2700:02:05,983 --> 00:02:11,439can wait to get their COVID booster shot this year. What you2800:02:11,439 --> 00:02:16,128should know about the latest virus and the latest variant, 2900:02:16,409 --> 00:02:23,860eris E-R-I-S, and how it relatesto the coronavirus today. I 3000:02:23,920 --> 00:02:28,106believe knowledge is power. I believe life is about service to3100:02:28,106 --> 00:02:33,281others. I believe leaders can change the world. As an outline 3200:02:33,421 --> 00:02:37,530we always like to have for you, we're going to talk about the 3300:02:37,689 --> 00:02:42,667coronavirus COVID-19. When I sayCOVID-19 and coronavirus, I'm 3400:02:42,807 --> 00:02:45,201using those terms interchangeably. I don't want 3500:02:45,222 --> 00:02:50,061that to be confusing, or I may just call it the virus, each one3600:02:50,061 --> 00:02:53,352of those titles. I'm talking about the coronavirus or 3700:02:53,372 --> 00:02:58,520COVID-19, or the virus that caused the pandemic. But as part3800:02:58,520 --> 00:03:01,592of our, I remember going to talk about Dr Fauci and just 3900:03:01,652 --> 00:03:06,328give him his due for his outstanding work in this field 4000:03:06,448 --> 00:03:09,705for the last four years. We're going to give an overview of our4100:03:09,705 --> 00:03:13,715COVID-19 pandemic and the Omicron variant specifically 4200:03:13,879 --> 00:03:16,669leading to the most recent variant that we're dealing with.4300:03:16,669 --> 00:03:24,413We're going to define what Eris, e-r-i-s or E-G.5, the latest 4400:03:24,594 --> 00:03:29,846variant is and how it's similar and different from the original 4500:03:29,966 --> 00:03:33,682Omicron a couple of years ago. And we're going to talk about 4600:03:33,703 --> 00:03:38,600prevention and how we still needto do some basic things to make4700:03:38,600 --> 00:03:44,671sure that we are healthy and able to continue on with our 4800:03:44,812 --> 00:03:48,685activity and that those that we come in contact with our family,4900:03:48,685 --> 00:03:53,143friends and coworkers also remain healthy. This particular 5000:03:53,163 --> 00:03:57,342masterclass, as we deal with theCOVID pandemic and this is the 5100:03:57,383 --> 00:04:00,491first time that we've dealt withthe pandemic as a masterclass 5200:04:01,020 --> 00:04:04,205we have given many discussions and many lectures over the last 5300:04:04,286 --> 00:04:09,905four years, both in person and on Zoom, but we're primarily 5400:04:09,944 --> 00:04:14,237talking about the pandemic and bringing you up to date with a 5500:04:14,618 --> 00:04:18,142status report, if you will, and the good news to start off with 5600:04:18,223 --> 00:04:22,560is that most people in this country are vaccinated. Most 5700:04:22,579 --> 00:04:26,242people in this country are vaccinated. Yes, we still do 5800:04:26,343 --> 00:04:31,012have some anti-vaxxers who are not vaccinated, but fortunately 5900:04:31,653 --> 00:04:35,901they're in a smaller minority than they used to be, and that 6000:04:35,980 --> 00:04:42,266is good news both for us and forthem. Let me just make a quick 6100:04:42,367 --> 00:04:46,163note about Dr Anthony Fauci. I think he is one of the most 6200:04:46,264 --> 00:04:50,242outstanding medical leaders in the world and I think he has 6300:04:50,341 --> 00:04:55,572exemplary proved himself in thatrespect about his work with the6400:04:55,572 --> 00:05:01,689pandemic, with COVID-19, datingback from 2020 all the way to 6500:05:02,071 --> 00:05:06,961present day. I consider him the father of epidemiology and I 6600:05:07,000 --> 00:05:10,382think he's an extraordinary leader. And because much of 6700:05:10,442 --> 00:05:13,930these podcasts are about leadership, I think Dr Anthony 6800:05:13,990 --> 00:05:17,904Fauci exemplifies that extraordinary leadership that we6900:05:17,904 --> 00:05:22,221all should strive to be. He is a tireless worker, he is 7000:05:22,321 --> 00:05:26,545committed to helping others and I think he's done an 7100:05:26,605 --> 00:05:30,358extraordinary service not only to this country but to the 7200:05:30,379 --> 00:05:36,302entire world. So kudos to you, dr Fauci. When we think about a 7300:05:36,343 --> 00:05:40,232virus and I don't want to get into too much detail basically 7400:05:40,519 --> 00:05:45,661we humans are made up of cells C-E-L-L. Think of a cell as a 7500:05:45,762 --> 00:05:50,391round organism that carries out certain functions on the inside,7600:05:50,391 --> 00:05:54,704and we actually are composed ofbillions of cells throughout 7700:05:54,841 --> 00:05:59,367our body that operate in an extraordinary accuracy and an 7800:05:59,468 --> 00:06:03,487extraordinary manner, and it keeps all of the functions 7900:06:04,130 --> 00:06:07,622moving as they should so that wecan do the things we need to do8000:06:07,622 --> 00:06:14,273. What happens, though, is that if that cell is attacked by, say8100:06:14,273 --> 00:06:19,865, a virus, and a cell is one particular size, a virus is much8200:06:19,865 --> 00:06:24,783smaller than the cell itself, and one of the ways that the 8300:06:25,125 --> 00:06:31,139COVID-19 virus again the coronavirus attacks our cells is8400:06:31,139 --> 00:06:35,302through a spike that's on the cell. A spike is just something 8500:06:35,324 --> 00:06:38,641that sticks out from the cell wall, and the virus is able to 8600:06:38,701 --> 00:06:44,692attach that spike, insert its genetic material into the cell 8700:06:45,279 --> 00:06:50,543and then change the character ofthat cell itself. So a lot of 8800:06:50,642 --> 00:06:56,273the treatment, ie the vaccines that have been developed to kill8900:06:56,273 --> 00:07:00,607the virus or at least to neutralize the virus, deal with 9000:07:01,468 --> 00:07:06,283issues to prevent the virus frombeing able to either attach to 9100:07:06,322 --> 00:07:11,151the cell the normal cell, or to insert its genetic material into9200:07:11,151 --> 00:07:14,887that normal cell. If the virus cannot do that, it will 9300:07:15,069 --> 00:07:18,701ultimately die. And again, keep in mind and I just want you to 9400:07:18,721 --> 00:07:21,793remember something real basic the whole purpose of the virus 9500:07:21,973 --> 00:07:25,786is to feed. The virus wants to eat, it wants to live, it wants 9600:07:25,805 --> 00:07:30,519to survive. It does that by feeding on human cells, and so 9700:07:30,560 --> 00:07:34,848what we want to do is not be thesource of food for the virus, 9800:07:35,408 --> 00:07:39,783because during that process of feeding on humans, it also ends 9900:07:39,944 --> 00:07:45,052up killing us, and so, for us tosurvive, the virus must be 10000:07:45,093 --> 00:07:48,485destroyed. To show the damage that has occurred with the 10100:07:48,565 --> 00:07:53,442coronavirus pandemic, over the last four years, mortality or 10200:07:53,521 --> 00:07:59,052deaths from the virus has significantly moved up as number10300:07:59,052 --> 00:08:03,769two on the list of the most common causes of deaths for 10400:08:03,869 --> 00:08:08,040humans. Presently in this country, the first cause is 10500:08:08,180 --> 00:08:11,853heart disease. Then it used to be cancer going all the way down10600:08:11,853 --> 00:08:15,805to kidney disease. Now it's heart disease, covid-19 10700:08:16,225 --> 00:08:20,192coronavirus cancer, going all the way down to kidney disease. 10800:08:20,680 --> 00:08:23,487It just gives you an idea and puts in perspective the number 10900:08:23,528 --> 00:08:27,064of people who are no longer withus as a result of this virus, 11000:08:27,124 --> 00:08:31,601and it just makes us even more determined and more committed to11100:08:31,601 --> 00:08:37,563take care of ourselves and alsotake care of others. One of the11200:08:37,563 --> 00:08:42,312things that's unique about a virus, or that's challenging 11300:08:42,351 --> 00:08:46,003about a virus, is that viruses change. They can change their 11400:08:46,083 --> 00:08:50,173structure, they can change the way they operate, and that 11500:08:50,253 --> 00:08:55,048really helps them to survive. Toput it another way, that makes 11600:08:55,128 --> 00:09:00,001it difficult for us to create vaccines or other types of 11700:09:00,042 --> 00:09:03,993medications to either destroy the virus or neutralize the 11800:09:04,033 --> 00:09:08,586virus, and one of the ways that it can do that is that it has 11900:09:08,625 --> 00:09:14,019the ability to change to what wecall mutate, to actually change12000:09:14,019 --> 00:09:18,248its form and function. And so Iwill use a number of other 12100:09:18,307 --> 00:09:23,663terms like variant. Variant is the same thing that I will say 12200:09:23,744 --> 00:09:28,033when I'm talking about a change.When a virus changes, it then 12300:09:28,092 --> 00:09:32,587becomes a variant of its original cell. Another term that12400:09:32,587 --> 00:09:36,381means the same thing is change is mutation. When a virus 12500:09:36,522 --> 00:09:41,530mutates, that means the virus changes Again, make it easier 12600:09:41,611 --> 00:09:46,086for it to survive and make it more difficult for it to be 12700:09:46,125 --> 00:09:50,520destroyed by medication or othertypes of methods. So keep that 12800:09:50,581 --> 00:09:54,688in mind. So remember that the coronavirus, or the pandemic, 12900:09:54,828 --> 00:10:01,506began roughly early 2020. Okay, we're now in 2023. So we're in 13000:10:01,527 --> 00:10:05,960the fourth year. Back when the virus first started, it was a 13100:10:06,080 --> 00:10:12,590certain way structurally and physiologically, but that virus 13200:10:12,811 --> 00:10:18,283of 2020 has significantly changed by the time we get to 13300:10:18,423 --> 00:10:24,418now in 2023. And it's changed infunction and it's changed in 13400:10:24,479 --> 00:10:28,288structure. One of those changes,so one of those variants. So 13500:10:28,368 --> 00:10:32,322one of those mutations, if you will, is a mutation called 13600:10:32,543 --> 00:10:38,575Omicron. Now, these mutations are all part of the Greek 13700:10:38,715 --> 00:10:43,384alphabet. Omicron is one of the big changes, the big variations,13800:10:43,384 --> 00:10:50,301the big mutations of the COVID-19 virus of 2020, the 13900:10:50,360 --> 00:10:54,475pandemic virus and Omicron virushad a number of different 14000:10:54,517 --> 00:10:57,283changes and a number of different mutations that made it14100:10:57,283 --> 00:11:00,130particularly stand out throughout the world. Remember, 14200:11:00,171 --> 00:11:04,827pandemic is an infection of the entire world and the Omicron was14300:11:04,827 --> 00:11:09,864particularly frustrating and itindeed spurned a lot of 14400:11:09,945 --> 00:11:14,797different changes and mutations and variants, if you will. So 14500:11:14,876 --> 00:11:21,133we're still dealing with some ofthe variants of Omicron. So one14600:11:21,133 --> 00:11:24,280of the various variants that we're dealing with the most 14700:11:24,380 --> 00:11:30,330recent one that we're dealing with in 2023, is a variant 14800:11:30,629 --> 00:11:37,292called Eris, e-r-i-s. Again, eris is a name for and I'm not 14900:11:37,331 --> 00:11:40,061sure where all these names come from, but it's the name of a 15000:11:40,140 --> 00:11:44,490Greek goddess, and this was the goddess of discord, like it's an15100:11:44,490 --> 00:11:47,784appropriate name, and so that'sthe name of the most recent 15200:11:48,405 --> 00:11:54,282variant, or strain, if you will,or mutation, if you will, of 15300:11:54,302 --> 00:11:58,109the COVID-19 virus. So we're going to talk about the most 15400:11:58,229 --> 00:12:03,024recent mutation change, a variant of the COVID-19 virus, 15500:12:03,625 --> 00:12:08,058and this recent mutation is called Eris, and one of the ways15600:12:08,058 --> 00:12:11,730we're going to do this to make it simpler and easier to 15700:12:11,809 --> 00:12:15,321understand, is I'm going to do it in terms of first asking a 15800:12:15,360 --> 00:12:19,416question and then answering the question to try to add even more15900:12:19,416 --> 00:12:22,144clarity. I realize that everybody may not be into the 16000:12:22,184 --> 00:12:26,980science and the biochemistry et cetera, but it is important and 16100:12:27,000 --> 00:12:29,892knowledge is power, and the moreyou understand about this, the 16200:12:29,932 --> 00:12:33,265more you could appreciate the importance of having to do the 16300:12:33,306 --> 00:12:37,861things you need to do. So let's look at the first question how 16400:12:37,923 --> 00:12:43,157prevalent is Eris? Another word for it, name for Eris is EG.5, 16500:12:43,236 --> 00:12:47,225but we'll call it Eris. That's easy to remember. How prevalent 16600:12:47,566 --> 00:12:53,302is Eris, the latest coronavirus sub variant? How common is it? 16700:12:53,363 --> 00:12:57,977How big is it? How much impact does it have? Actually, about 16800:12:58,038 --> 00:13:04,46520% of the new cases in August of this year 2023, are felt to 16900:13:04,636 --> 00:13:09,506be caused by Eris, and this is the last two weeks of August, 17000:13:09,527 --> 00:13:12,759the last two to three weeks of August. And why that's important17100:13:12,759 --> 00:13:15,104is that we've noticed that during the month of August of 17200:13:15,124 --> 00:13:22,3632023, the number of cases of coronavirus are beginning to 17300:13:22,503 --> 00:13:26,518increase, are beginning to increase, and of those cases 17400:13:26,538 --> 00:13:30,422that are beginning to increase, eris, the most recent variant, 17500:13:31,101 --> 00:13:37,850is dominant, but it's about 20% of cases. Another question how 17600:13:37,970 --> 00:13:41,738is eras different from other recent coronavirus strains? 17700:13:43,346 --> 00:13:48,062Actually, eras is quite similar to the other coronavirus strains17800:13:48,062 --> 00:13:50,469and there have been a lot of them over the last four years, 17900:13:50,970 --> 00:13:53,998and that's a good thing. And thereason why that's a good thing 18000:13:54,325 --> 00:14:00,215is it makes the ability of the scientists to develop a vaccine 18100:14:00,716 --> 00:14:07,092that will kill or paralyze eras more likely, because it is not 18200:14:07,192 --> 00:14:09,977too different. It does not appear to be at present too 18300:14:10,057 --> 00:14:14,251different than the other variants of mutations that we've18400:14:14,251 --> 00:14:20,245had of the coronavirus. We're more likely than not that we're 18500:14:20,285 --> 00:14:24,855more optimistic about being ableto come up with a vaccine that 18600:14:24,914 --> 00:14:28,894can protect us against the horrible parts of this 18700:14:28,953 --> 00:14:32,004particular mutation of the coronavirus, and we'll talk 18800:14:32,184 --> 00:14:36,875about this a little later. Now there are other variants that 18900:14:36,914 --> 00:14:39,927have come along other than Omicron, but most of them have 19000:14:39,989 --> 00:14:44,322not been as large nor have they been as impactful as Omicron. 19100:14:44,563 --> 00:14:47,070And some of these other variantshave been alpha, they've been 19200:14:47,110 --> 00:14:51,366delta, and again, the greek alphabets are used to designate 19300:14:51,388 --> 00:14:55,240the various variants and most ofthem have no longer around now,19400:14:55,240 --> 00:14:59,352again, over the last four years, and the original form of the 19500:14:59,393 --> 00:15:03,684coronavirus is no longer around now. So we're living with the 19600:15:03,845 --> 00:15:08,953mutations, if you will, the variants of the original virus 19700:15:08,974 --> 00:15:15,169in 2020 or December of 2019. Okay, so that's why this whole 19800:15:15,269 --> 00:15:19,322issue is so important. The Center for Disease Control, the 19900:15:19,361 --> 00:15:23,951CDC, which is out of Atlanta, georgia, is responsible for 20000:15:24,451 --> 00:15:30,225policy and guidelines and rules and regulations about how to 20100:15:30,306 --> 00:15:33,977protect ourselves, both individually and collectively, 20200:15:34,499 --> 00:15:37,610and the CDC does a number of things. Many times, in my 20300:15:37,669 --> 00:15:40,299judgment, it does not get creditfor all the work that it does, 20400:15:40,760 --> 00:15:44,011but it has thousands of individuals who work endlessly 20500:15:44,072 --> 00:15:48,485and tirelessly to keep us safe and we owe them a huge debt of 20600:15:48,644 --> 00:15:52,052gratitude. And therefore, specific things that the CDC 20700:15:52,092 --> 00:15:56,688does. One, it does the very detailed detection or detection 20800:15:56,769 --> 00:16:00,576processes of variants. And again, as we said, this is what 20900:16:00,616 --> 00:16:05,311viruses do they mutate, they change, they grow, if you will, 21000:16:05,672 --> 00:16:10,426to a different form to try to avoid destruction. And one of 21100:16:10,466 --> 00:16:14,715the things that the CDC does is it's on top, and has been for a 21200:16:14,735 --> 00:16:19,552long time on top, of the growth of these new barriers to make 21300:16:19,633 --> 00:16:23,245sure that we can destroy them assoon as possible. The other 21400:16:23,285 --> 00:16:26,993thing the CDC does is it provides guidelines to slow the 21500:16:27,013 --> 00:16:32,192spread of international travel. I'm sure you're aware that one 21600:16:32,232 --> 00:16:36,144of the main sources of contamination, if you will and 21700:16:36,164 --> 00:16:41,418I'm someone whose fly has flown quite frequently is flying from 21800:16:41,900 --> 00:16:45,549one country to another, flying from one city to another Both 21900:16:45,590 --> 00:16:48,957just the process of being on an airplane with a lot of people in22000:16:48,957 --> 00:16:53,333small space, which itself is problematic, and also going from22100:16:53,333 --> 00:16:57,087one environment to another environment. Many times, if one 22200:16:57,469 --> 00:17:00,515becomes contaminated and then you go back to another place, 22300:17:00,897 --> 00:17:04,576then you theoretically can become a carrier, and so it's 22400:17:04,615 --> 00:17:07,768one of the things we need to be aware of, and the CDC is very 22500:17:07,828 --> 00:17:11,599good at helping us with that. It's also very good at 22600:17:11,640 --> 00:17:14,949partnering with various state and local government agencies to22700:17:14,949 --> 00:17:18,997slow the spread of viruses and,finally, it's very good in 22800:17:19,037 --> 00:17:23,213terms of support and providing smart, intelligent, 22900:17:23,695 --> 00:17:27,967scientifically based informationabout ways that we can protect 23000:17:28,086 --> 00:17:31,635ourselves individually. I think we're very fortunate and very 23100:17:31,675 --> 00:17:35,512blessed to have an organization like the CDC working with us. 23200:17:36,875 --> 00:17:40,967Another question is ARIS, again the most recent variant for the 23300:17:40,987 --> 00:17:45,880coronavirus, contributing to an uptick in COVID-19 23400:17:45,941 --> 00:17:50,018hospitalizations? And the answerto that question is yes. What 23500:17:50,103 --> 00:17:53,819are the ways we know that the coronavirus is still active and 23600:17:53,984 --> 00:17:58,173whatever form it may be? Is thatwe start seeing an increase in 23700:17:58,214 --> 00:18:01,791the number of hospitalizations, people who get sick, and they 23800:18:01,832 --> 00:18:04,805get so sick that they cannot stay at home. They have to go to23900:18:04,805 --> 00:18:07,770the hospital and obviously these are the individuals who 24000:18:07,810 --> 00:18:13,708are at the greatest risk for serious damage and or death. But24100:18:13,708 --> 00:18:16,273one of the things that's important is that, even though 24200:18:17,035 --> 00:18:23,573the most recent mutation, aris, has caused an increase, it's 24300:18:23,633 --> 00:18:27,266only been a 14% increase in the hospitalization and again, 24400:18:27,346 --> 00:18:30,753everything is relative. But a year or two or three years ago 24500:18:30,795 --> 00:18:34,430we were looking at huge increases in hospitalization on 24600:18:34,490 --> 00:18:38,558a monthly basis. So even though it's beginning to tick up a bit,24700:18:38,558 --> 00:18:43,974it's not increasing as much as we normally would see or have 24800:18:44,035 --> 00:18:48,971seen in the past with this particular virus. So one of my 24900:18:49,010 --> 00:18:53,198sense specific what I'm saying is the coronavirus is still with25000:18:53,198 --> 00:18:57,333us, the variant is still operational. The variant is 25100:18:57,413 --> 00:19:00,767causing an increase in hospitalization, but it does not25200:19:00,767 --> 00:19:06,901appear to be as serious or as dramatic an increase in 25300:19:06,941 --> 00:19:10,749hospitalization, as large an increase in hospitalization as 25400:19:11,230 --> 00:19:14,896three or four years ago, and that's a good thing. We know 25500:19:15,337 --> 00:19:19,776that frequently, trend-wise, that there tends to be an uptick25600:19:19,776 --> 00:19:25,111in coronavirus infections in the summertime. Some have 25700:19:25,131 --> 00:19:28,561theorized that that's because many individuals most of us 25800:19:28,622 --> 00:19:31,930travel more in the summertime tokids out of school or we take 25900:19:32,009 --> 00:19:36,145vacation more in the summertime to foreign countries, different 26000:19:36,185 --> 00:19:40,920states, et cetera, and that sortof causes there to be an 26100:19:41,039 --> 00:19:44,409increase. Nevertheless, we do know that this happens and it 26200:19:44,429 --> 00:19:47,925tends to happen every summer. The good news is so far and 26300:19:47,965 --> 00:19:51,478we're in summer right now is that the increase has not been 26400:19:51,557 --> 00:19:56,576as large as it has been due in other summers so far. Does 26500:19:56,718 --> 00:20:01,199heiress, this most recent variant, cause symptoms that are26600:20:01,199 --> 00:20:05,616different from other coronavirus subvariants? The 26700:20:05,656 --> 00:20:09,499good news is no, it does not, that the symptoms are very 26800:20:09,598 --> 00:20:14,441similar to what the coronavirus has created before. Why that's 26900:20:14,500 --> 00:20:19,285good is that it helps us to identify and make a diagnosis 27000:20:19,365 --> 00:20:22,496much faster. I'm sure you remember the symptoms, whether 27100:20:22,516 --> 00:20:25,395you've had it or seen individuals who've had it, but 27200:20:25,435 --> 00:20:28,565the very severe symptoms or the most common symptoms tend to be 27300:20:28,664 --> 00:20:35,481fever, fatigue and a dry cough. In general, most individuals who27400:20:35,481 --> 00:20:40,941become infected with COVID-19, regardless of the variant or the27500:20:40,941 --> 00:20:45,624mutation at the time tend to have mild symptoms in general. 27600:20:46,355 --> 00:20:49,825Again, that's probably because the majority of individuals in 27700:20:49,904 --> 00:20:54,596our country have received the vaccination and that makes it 27800:20:54,757 --> 00:20:58,184easier for them not to get as ill or to have a little more 27900:20:58,244 --> 00:21:02,397protection on board if they're exposed to the virus. About 80 28000:21:02,417 --> 00:21:06,557percent tend to have mild symptoms in general, 13 percent 28100:21:06,598 --> 00:21:11,864tend to have severe symptoms and6 percent tend to have critical28200:21:11,864 --> 00:21:15,303symptoms. Now, another reason for those variations in symptoms28300:21:15,303 --> 00:21:19,825tends to be the status, the medical status of the individual28400:21:19,825 --> 00:21:23,683. If you have preexisting medical conditions like diabetes28500:21:23,683 --> 00:21:28,499, heart disease, obesity, etc. Etc. Then that increases your 28600:21:28,578 --> 00:21:32,900risk of having more critical symptoms. Likewise, if you're in28700:21:32,900 --> 00:21:37,416the extremes of age if you're ababy or a young child, ask, and28800:21:37,416 --> 00:21:42,378someone who's over 60 years of age you too are more susceptible28900:21:42,378 --> 00:21:47,419to having the more serious symptoms. As we think about 29000:21:47,680 --> 00:21:51,657COVID-19 and the more common symptoms of fever, fatigue and 29100:21:51,698 --> 00:21:55,301dry cough, let's not forget thatit also causes some 29200:21:55,342 --> 00:21:58,580gastrointestinal symptoms. There's not a lot of discussion 29300:21:58,621 --> 00:22:02,364about that, but a lot of patients have problems with 29400:22:02,443 --> 00:22:08,478stomach pains, diarrhea, cramps,etc. Etc. Let's keep that in 29500:22:08,518 --> 00:22:12,518mind as we look at the symptomatology. As we prepare 29600:22:13,298 --> 00:22:19,237for our scheduled vaccines and vaccinations for this year, most29700:22:19,237 --> 00:22:21,984of us who've been vaccinated are now just getting booster 29800:22:22,025 --> 00:22:25,218shots, because we've already been vaccinated. Now we're 29900:22:25,258 --> 00:22:27,657getting the booster shot, and the purpose of the booster shot 30000:22:27,979 --> 00:22:32,617is to keep our immunization level high. The higher our 30100:22:32,718 --> 00:22:37,082immunization level is, the more protected we are from the things30200:22:37,082 --> 00:22:39,978that the virus is trying to do to us, particularly the most 30300:22:40,138 --> 00:22:45,817recent variant of the virus, aris E-R-I-S. What we're 30400:22:45,876 --> 00:22:51,397learning is that there are threebasic viruses that usually we 30500:22:51,438 --> 00:22:55,078have to deal with now in the wintertime. Viruses usually 30600:22:55,118 --> 00:22:59,799become more infectious in the wintertime. Winter is January, 30700:22:59,839 --> 00:23:03,682february, march and sometimes inthe fall, october, november, 30800:23:03,743 --> 00:23:08,759december. Right now we're in August. One of the points that 30900:23:08,798 --> 00:23:12,215we want to make with this particular presentation is that 31000:23:12,395 --> 00:23:16,778if you already have your, you'vealready been vaccinated and 31100:23:16,798 --> 00:23:20,200you've already had your current booster. Now you're thinking 31200:23:20,240 --> 00:23:25,476about what about my booster for to get me prepared for 2024? One31300:23:25,476 --> 00:23:28,143of the points we want to make is that a number of very 31400:23:28,182 --> 00:23:32,945scholarly professors who are experts on COVID-19 are saying 31500:23:33,194 --> 00:23:37,805or have said that you don't haveto get the booster this week or31600:23:37,805 --> 00:23:43,082next week. Okay, that you can wait and get the booster in mid 31700:23:43,643 --> 00:23:48,259to late September or in October Because, remember, the booster 31800:23:48,298 --> 00:23:54,521shots are most protective of us two to three months after we get31900:23:54,521 --> 00:23:59,125the shot. So what we want is wewant maximum protection at the 32000:23:59,165 --> 00:24:02,676beginning or doing particularly those one a month. That's why 32100:24:03,097 --> 00:24:06,797that most vaccinations are givenin the fall, because we're 32200:24:06,817 --> 00:24:10,546preparing for winter, when the virus is going to be most active32300:24:10,546 --> 00:24:14,376and we're going to be most susceptible. So one of the 32400:24:14,417 --> 00:24:17,961points we want to make is and most people don't like shots 32500:24:18,434 --> 00:24:21,695that you don't have to get it this week or next week, but you 32600:24:21,756 --> 00:24:25,675do want to get your booster shotSeptember, october to get the 32700:24:25,777 --> 00:24:30,240maximum protection for the winter months December, january,32800:24:30,240 --> 00:24:34,141february, march. There is no question that of the last four 32900:24:34,201 --> 00:24:37,277years, that we've all been traumatized both mentally, 33000:24:37,377 --> 00:24:42,138physically and spiritually by this pandemic and I take no 33100:24:42,179 --> 00:24:45,895pleasure in saying this but thatthe virus is still with us. It 33200:24:45,976 --> 00:24:51,064is not gone. It is less, it is more controlled, but it is not 33300:24:51,163 --> 00:24:56,365gone completely. And again we'reentering into those the time of33400:24:56,365 --> 00:25:00,063the year where it is most rampant and it is most 33500:25:00,262 --> 00:25:04,299destructive. So just keep that in mind, and my purpose for 33600:25:04,319 --> 00:25:07,702saying that is do those basic things that we all know that we 33700:25:07,742 --> 00:25:11,902should do Wash our hands, be careful in closed spaces with a 33800:25:11,942 --> 00:25:16,175lot of people and wear your mask. I'm one of those folks. I 33900:25:16,215 --> 00:25:21,502carry my mask with me and I tellmy patients and others wear 34000:25:21,542 --> 00:25:25,340your mask probably, put your shoulders back in your head up 34100:25:25,401 --> 00:25:28,280and wear it probably, because not only are you protecting 34200:25:28,320 --> 00:25:31,195yourself, you're protecting those around you, whether 34300:25:31,236 --> 00:25:34,799they're able to appreciate that or not. One of the things that's34400:25:34,799 --> 00:25:38,080occurred, starting in the last two or three years with the 34500:25:38,482 --> 00:25:41,858President administration in Washington, is that we now have 34600:25:41,979 --> 00:25:45,598testing kits that are home kits,and so you can test yourself if34700:25:45,598 --> 00:25:49,135you have a question about it and send in the results, and you34800:25:49,135 --> 00:25:53,125can get those results validatedby retest or take an additional34900:25:53,125 --> 00:25:57,810test at the hospital or at yourphysician's office. It's 35000:25:57,871 --> 00:26:02,118important to keep in mind that this virus that we have, the 35100:26:02,660 --> 00:26:07,839COVID-19 virus, will mutate every single year. All viruses 35200:26:07,920 --> 00:26:10,671mutate every single year. Think about the flu virus, and that's 35300:26:10,711 --> 00:26:13,577probably the one that we're mostfamiliar with. Every single 35400:26:13,617 --> 00:26:16,953year, we take a flu shot and thereason we take that flu shot. 35500:26:16,993 --> 00:26:20,321We usually take it in the fall September, october, november, 35600:26:20,609 --> 00:26:24,539december, whatever is that. We want to get our immune level up.35700:26:24,539 --> 00:26:28,134Remember it takes two to three months to get maximum protection35800:26:28,134 --> 00:26:31,102, so that we have maximum protection going until the 35900:26:31,162 --> 00:26:35,116winter months. That's why we do it that way. It would be no 36000:26:35,198 --> 00:26:39,750different with the COVID-19 virus in terms of getting the 36100:26:39,791 --> 00:26:44,605booster shot. Okay, and it's important to understand. Why is 36200:26:44,786 --> 00:26:48,837it that we have to do it that way? The reality is that the 36300:26:48,897 --> 00:26:52,708scientists and the physicians and the clinicians and the 36400:26:52,848 --> 00:26:58,218experts who create these boostervaccines. They don't know what 36500:26:58,278 --> 00:27:05,454the virus is going to be for 2024. So they're creating the 36600:27:05,895 --> 00:27:13,009booster in late 2023, but it's aguess. It is an educated guess,36700:27:13,009 --> 00:27:16,477but it is not 100% accurate because they actually don't know36800:27:16,477 --> 00:27:20,634what the variant is going to bein 2024, of what it's going to 36900:27:20,693 --> 00:27:23,527act like Because, remember, the variant's changed, thus the word37000:27:23,527 --> 00:27:28,798variant, it varies, it changes frequently to survive. So to 37100:27:28,859 --> 00:27:32,534some extent we're chasing the virus. Now. That's why we're 37200:27:32,574 --> 00:27:38,750encouraged by the fact that the variant appears to be very close37300:27:38,750 --> 00:27:42,539, symptomatically, with other variants, because we have 37400:27:43,060 --> 00:27:46,972vaccines and booster shots that can take care of that. And if 37500:27:47,053 --> 00:27:50,105it's similar, then we should be in good shape. But anything is 37600:27:50,186 --> 00:27:54,402possible is my point. Anything is possible. So what you want to37700:27:54,402 --> 00:27:57,332do is be maximally protected. You want to protect those that 37800:27:57,372 --> 00:28:01,005you care about love, one and love and you want to protect 37900:28:01,065 --> 00:28:04,656everybody. I am my brother's keeper, I am my sister's keeper.38000:28:04,656 --> 00:28:08,569That's important to me and that's a fundamental right that 38100:28:08,609 --> 00:28:13,503we all should have. Just again, before we finish, just review 38200:28:13,684 --> 00:28:17,213the way this virus is spread is with droplets, sneezing, 38300:28:17,694 --> 00:28:23,028coughing, speaking, laughing, singing, talking. So if you're 38400:28:23,048 --> 00:28:25,554in an airplane and someone is sitting in the back of the plane38500:28:25,554 --> 00:28:30,231and see 40 and they're sneezingand coughing and those droplets38600:28:30,231 --> 00:28:33,182are going straight up toward the front of the plane or 38700:28:33,262 --> 00:28:36,654somewhere around you and that's why you want to wear your mask 38800:28:36,695 --> 00:28:39,386and that's why you want to be constantly vigilant, 38900:28:39,728 --> 00:28:42,535particularly when you're in large crowds. The good news 39000:28:43,036 --> 00:28:46,942about the coronavirus or the coronavirus, is that we're 39100:28:46,982 --> 00:28:49,578getting fewer cases again because people are more 39200:28:49,618 --> 00:28:52,611vaccinated and we still want to get the ones who aren't 39300:28:52,631 --> 00:28:55,738vaccinated to become vaccinated.The different variants that 39400:28:55,778 --> 00:28:59,875occur many times can occur in different countries. Remember 39500:28:59,896 --> 00:29:03,510this the pandemic is worldwide. So even though we're dealing 39600:29:03,550 --> 00:29:08,098with the particular variant in the United States, others in say39700:29:08,098 --> 00:29:14,055, in India or in South America or Africa or Europe, the United 39800:29:14,095 --> 00:29:18,022Kingdom. They may have differentvariants but because travel, 39900:29:18,450 --> 00:29:21,636among other things, allows us togo from country to country, 40000:29:21,938 --> 00:29:27,156those variants quickly spread around throughout the world. In 40100:29:27,237 --> 00:29:30,407summary, we have been very fortunate to have had the 40200:29:30,468 --> 00:29:33,915leadership in healthcare, particularly in epidemiological,40300:29:33,915 --> 00:29:37,423pandemic type related healthcare. Like Dr Anthony 40400:29:37,462 --> 00:29:41,855Fauci, he is an icon, in my judgment, in the field of 40500:29:41,894 --> 00:29:50,313medicine and we owe him a huge debt of gratitude to thank him 40600:29:50,393 --> 00:29:53,565for all the work that he has done. We're dealing now with yet40700:29:53,565 --> 00:29:56,933another variant. This is the variant of the Omicron, which 40800:29:56,973 --> 00:30:01,923was the variant of the original COVID-19 virus from late 2019. 40900:30:02,589 --> 00:30:06,060The good news is that this particular variant appears to be41000:30:06,060 --> 00:30:11,034less powerful so far than the original Omicron variant. The 41100:30:11,094 --> 00:30:18,770name of this variant is ERIS. The technical name is EG.5. So 41200:30:18,931 --> 00:30:23,507ERIS appears to be less powerfulso far than the other variants 41300:30:23,527 --> 00:30:25,952that we've dealt with in the past, and that's good news. 41400:30:26,413 --> 00:30:29,902We're optimistic that, as we getour booster shots in late 41500:30:30,001 --> 00:30:35,498September, in October, that we should be able to do well with 41600:30:35,538 --> 00:30:40,672this new variant. If you have certain special circumstances, 41700:30:41,353 --> 00:30:45,160you may want to take your booster shot earlier. What do I 41800:30:45,221 --> 00:30:50,076mean by special circumstances? If our elderly and my definition41900:30:50,076 --> 00:30:53,804of elderly is over 60, if you have pre-existing medical 42000:30:53,910 --> 00:31:01,221conditions and also have travel plans for the fall for August, 42100:31:01,340 --> 00:31:07,097september, october you then may want to move up your booster 42200:31:07,138 --> 00:31:10,949schedule. My discussion today was about those individuals who 42300:31:11,028 --> 00:31:14,076are just the routine and don't fall into those special 42400:31:14,135 --> 00:31:18,132circumstances, and what you always want to do is just check 42500:31:18,172 --> 00:31:21,720with your healthcare provider, just ask her, tell them what 42600:31:21,759 --> 00:31:25,414your circumstances are and ask her or him what you should do. 42700:31:26,096 --> 00:31:30,391It's always important to stay upto date with the latest and 42800:31:30,431 --> 00:31:33,737what we try to do with these podcasts is provide some of that42900:31:33,737 --> 00:31:38,694with you, but always be informed. Knowledge is power and43000:31:38,694 --> 00:31:42,527that's why we do these podcasts, but if you have certain 43100:31:42,547 --> 00:31:45,934circumstances, you can. Again, circumstances meaning 43200:31:45,994 --> 00:31:51,250pre-existing conditions, elderly, very young and anything else 43300:31:51,351 --> 00:31:55,983that may make you more susceptible to COVID-19, then 43400:31:56,044 --> 00:32:00,195certainly follow the advice of your healthcare professional and43500:32:00,195 --> 00:32:04,589do accordingly. In general, we recommend, if you do not fall 43600:32:04,609 --> 00:32:09,403into those special categories, that most of you will probably 43700:32:09,442 --> 00:32:13,795be able to have those shots, probably again late September 43800:32:13,954 --> 00:32:16,962and early October. I realize that we're only talking about 43900:32:17,002 --> 00:32:19,917maybe two or three weeks difference, but again, I think 44000:32:20,358 --> 00:32:23,289the more you know how, the more important it is, the more 44100:32:23,431 --> 00:32:27,468helpful it is for you to take care of yourself. Okay, my basic44200:32:27,468 --> 00:32:31,369principles God is in charge. Principle number one I am a 44300:32:31,410 --> 00:32:35,373position of faith and I am grateful and have been blessed 44400:32:35,393 --> 00:32:40,593to have God in my life. That is why I have been able to stay 44500:32:40,653 --> 00:32:43,968healthy and do the things that I've been able to do. Second 44600:32:43,988 --> 00:32:47,445principle no bad days. I don't have any bad days. I decided 44700:32:47,486 --> 00:32:51,093about 30 years ago that I'd had enough bad days and I figured 44800:32:51,192 --> 00:32:55,326out that my day was good or bad when I said it was. So then I 44900:32:55,386 --> 00:32:58,934limited all my bad days and I now have good days and I have 45000:32:58,994 --> 00:33:02,290great days. Principle number three don't sweat the small 45100:33:02,332 --> 00:33:06,429stuff, and most stuff is small. I have learned that when I have 45200:33:06,568 --> 00:33:11,518experienced something that I perceive to be negative or a 45300:33:11,597 --> 00:33:14,771problem, that most of the time it's not nearly as important as 45400:33:14,853 --> 00:33:19,354I think it is and with a little time I figure out and I'm able 45500:33:19,394 --> 00:33:23,253to let it go. Principle number four forgiveness is therapy. 45600:33:23,765 --> 00:33:28,474That whenever, again, I perceivethat someone has done or said 45700:33:28,535 --> 00:33:32,069something negative to me, I immediately have learned, and or45800:33:32,069 --> 00:33:36,468am learning, to forgive them, and that not only is therapeutic45900:33:36,468 --> 00:33:41,114for me, but I have many times prevented the circumstances from46000:33:41,114 --> 00:33:45,220developing unnecessary, regardless of what the issue is.46100:33:45,220 --> 00:33:49,090And finally, everything is a relationships. Relationships are46200:33:49,090 --> 00:33:52,617based on three things mutual respect, mutual trust, good 46300:33:52,657 --> 00:33:56,112communication. If you have thosethree things, you have a good 46400:33:56,173 --> 00:34:00,885relationship. If you do not, youhave work to do. If you like 46500:34:00,905 --> 00:34:03,150these podcasts, I would encourage you to feel 46600:34:03,550 --> 00:34:08,786comfortable and enthusiastic about subscribing. You can go to46700:34:08,786 --> 00:34:16,719wwwbuzzproutcom. Forward slash two, one zero one, zero, zero, 46800:34:16,818 --> 00:34:24,534three. That's wwwbuzz b-u-z-z-p-r-o-u-t dot com. 46900:34:24,994 --> 00:34:30,365Forward. Slash two, one zero. One, zero, zero, three. And 47000:34:30,405 --> 00:34:36,306finally, be the change that you want to see in the world. Thank 47100:34:36,385 --> 00:34:38,371you and have a wonderful day. 47200:34:39,704 --> 00:34:41,690Speaker 1: Thanks for listening to the healthy, wealthy and wise47300:34:41,690 --> 00:34:46,510podcast with Dr William Choctaw, MD. We hope you enjoy this 47400:34:46,610 --> 00:34:50,489episode. In fact, if you found this episode helpful, you can 47500:34:50,528 --> 00:34:54,795support and subscribe to the podcast on your favorite podcast47600:34:54,795 --> 00:34:59,286platform with the key words Dr William Choctaw, and you'll find47700:34:59,286 --> 00:35:04,231it very quickly. Also, subscribing helps ensure that 47800:35:04,291 --> 00:35:08,266you don't miss any future episodes. And then takes the 47900:35:08,367 --> 00:35:12,135next step of action and share itwith your family, friends and 48000:35:12,215 --> 00:35:16,547or your coworkers. They'll be glad you did so. Until the next 48100:35:16,586 --> 00:35:21,097time, live your best possible life the best possible way. 48200:35:21,485 --> 00:35:23,809You've been listening to the healthy, wealthy and wise 48300:35:23,909 --> 00:35:26,693podcast with Dr William Choctaw,MD.